This weekly roundup thread is intended for all culture war posts. 'Culture war' is vaguely defined, but it basically means controversial issues that fall along set tribal lines. Arguments over culture war issues generate a lot of heat and little light, and few deeply entrenched people ever change their minds. This thread is for voicing opinions and analyzing the state of the discussion while trying to optimize for light over heat.
Optimistically, we think that engaging with people you disagree with is worth your time, and so is being nice! Pessimistically, there are many dynamics that can lead discussions on Culture War topics to become unproductive. There's a human tendency to divide along tribal lines, praising your ingroup and vilifying your outgroup - and if you think you find it easy to criticize your ingroup, then it may be that your outgroup is not who you think it is. Extremists with opposing positions can feed off each other, highlighting each other's worst points to justify their own angry rhetoric, which becomes in turn a new example of bad behavior for the other side to highlight.
We would like to avoid these negative dynamics. Accordingly, we ask that you do not use this thread for waging the Culture War. Examples of waging the Culture War:
-
Shaming.
-
Attempting to 'build consensus' or enforce ideological conformity.
-
Making sweeping generalizations to vilify a group you dislike.
-
Recruiting for a cause.
-
Posting links that could be summarized as 'Boo outgroup!' Basically, if your content is 'Can you believe what Those People did this week?' then you should either refrain from posting, or do some very patient work to contextualize and/or steel-man the relevant viewpoint.
In general, you should argue to understand, not to win. This thread is not territory to be claimed by one group or another; indeed, the aim is to have many different viewpoints represented here. Thus, we also ask that you follow some guidelines:
-
Speak plainly. Avoid sarcasm and mockery. When disagreeing with someone, state your objections explicitly.
-
Be as precise and charitable as you can. Don't paraphrase unflatteringly.
-
Don't imply that someone said something they did not say, even if you think it follows from what they said.
-
Write like everyone is reading and you want them to be included in the discussion.
On an ad hoc basis, the mods will try to compile a list of the best posts/comments from the previous week, posted in Quality Contribution threads and archived at /r/TheThread. You may nominate a comment for this list by clicking on 'report' at the bottom of the post and typing 'Actually a quality contribution' as the report reason.
Jump in the discussion.
No email address required.
Notes -
I do wonder whether prolonged exposure to tragedy, suffering, and death helps people (Westerners? First Worlders?) decouple things better. There's a stereotype that soldiers, nurses, and adrenaline junkies get around a lot; I can't speak to the first two but the third has been true enough in my experience. I'd like to ask the Indian physician @self_made_human and the American combat veteran @JTarrou whether this has been true for them. [EDIT: "have you become a better decoupler, or less averse to the idea of casual sex because of your experiences"] While I'll definitely contend that extended exposure to the hospital system as a healthcare provider or worker (rather than as a patient) isn't quite as bad as war, I will say that you see some shit and that it is difficult to describe in words.
I'll agree with you there. A lot of this stuff - like those bespoke queer poly communes - is a lot like 'building your own airplane out of a lawnmower or motorcycle engine and a bunch of stuff from the local Home Depot'. If you're a skilled enough airplane designer, woodworker, and amateur engineer...you can pull it off and build something airworthy. However, you had better be very, very careful and know that you're venturing off the beaten path and might just fall out of the goddamn sky.
Fair enough - FAFO. For what it's worth, I think that the accredited-investor bar should be quite a bit lower. IIRC there are ways to get around this, companies offering special shares to ordinary investors through some relatively nontrivial method. People trying this know damn well that this is "go big or go home" territory and that they might lose everything. These are high risk, potentially high reward lottery tickets. It's like backcountry skiing signs. Ideally we'd mark things a bit more clearly...
There's certainly an element of truth to it, but speaking from my own experience I don't hink the mechanism is "decoupling" so much as just being hungrier, hornier, and having a shorter time-horizon than most. The old cliche about your first meal after a brush with death being the best meal of your life is a cliche for a reason. It's True. IME everything from food sex and alcohol to the morning commute just feels more immediate and "alive" when contrasted with the alternative. Be it @JTarrou's "violent class" or med students who find themselves attracted to Trauma Medicine and backcountry skiing I think that sort also tends to be sort who'll take the old saw about "live each day like it might be your last" and play it 100% straight.
Hmm. At my medschool...future surgeons and OB-GYN students seemed to be the wildest. Future pathologists and radiologists? We were sticks in the mud. I know a mountaineering neurologist, backcountry skier surgeon, and pilot anesthesiologist.
Future surgeon certainly fits the stereotype in my mind
The stereotype you have of me, Skookum the Hockman...or the stereotype of people that get around a lot or are adrenaline junkies? For 1) it was surgeons and OB-GYNs plus a handful of ER docs. For 2) the same, plus (oddly enough) psychiatrists and pediatricians.
More options
Context Copy link
More options
Context Copy link
More options
Context Copy link
More options
Context Copy link
I would say the stereotype is broadly correct, though individuals vary wildly. I am a far less sexually adventurous person than most of my compadres, but my experience there both psychologically and training/observation of technique did vastly increase my success and dabbling in casual sexual encounters, but "vastly increase" is a nice way of saying "started from shit". Frankly, that period of my life wasn't particularly fulfilling sexually, I much prefer longer term relationships.
The question is more about your desire for casual sex and your attitude towards it - not how competent you were at getting it. If Johnny McHorndog enters nursing school or the Army hell-bent on casual encounters and piss-poor at achieving them, then spends a few years as a soldier or nurse, gets good at having casual sex, but desires it much less due to viewing sex as sacred or meaningful to him personally...Mr. McHorndog didn't become a higher decoupler from the experience. It's Mr. Prude (and maybe Mrs. Prude), very sociosexually restricted, little to no interest in casual sex...until they see some shit and aren't deeply disinterested in it.
More options
Context Copy link
More options
Context Copy link
My experience as a front-line doctor in a 3rd World Country, an essay initially posted on the Motte subreddit as I was delirious from an ortho rotation tied with gyne for the worst months of my life. I'm still proud that the original prompted Scott himself to show up in the sub to respond with positive encouragement! (In the unlikely event he's reading this, I'm doing much better, it's a wonder what working in a service with a budget more than lost change behind the couch can do haha).
Was it fucking awful? If you're someone who doesn't particularly like reading (what are you doing here again?), then yes, it was fucking awful, and I struggle to imagine an American/Western doc will see anything this bad unless they volunteer for a mission to Haiti or some other hell-hole. Still better than working in the ER during a war, but all the worse for being a represenation of the status-quo for a billion people who can't afford better.
I'm not a soft person, but my heart is thoroughly sclerosed after the whole ordeal, not that I suffer from anything like PTSD or the like. Humans can get used to almost anything, and fast.
While I didn't see the kind of shit that you saw, I saw a different flavor of shit for a month as an Eaglelandian medical student. Terminally ill children, and kids in crisis from sickle cell anemia. Working conditions were good to excellent: 9 to 5, sometimes a four-hour weekend shift. Emotionally: I write about this a lot, but can't do it justice. It was ordinary dumbfucks in hell: most parents, even good ones, just fuck 'dealing with terminally ill child' up mildly to moderately bad. Only maybe five or ten percent of the parents weren't - as the doctors and nurses judged them - weren't some flavor or other of bush league dipshit or dumbass.
I will say that I did not have a traumatic or emotionally difficult or even unpleasant experience! If forced to rate it: 4/10, mildly unpleasant but I don't regret having done it, nor would I mind doing it again.
With war - although I've never been - I think that the thing at play is constant personal, physical danger, seeing your friends killed, and maybe a bit of moral injury from making mistakes in war that cost people their lives. In the cancer ward, there were a lot of eyes on things and relatively few (maybe 1x/week/attending at most) opportunities to make minor fuckups and kill patients.
More options
Context Copy link
More options
Context Copy link
More options
Context Copy link